Isifo seMetabolic syndrome

I-Metabolic syndrome yigama leqembu lezinto ezinobungozi ezenzeka ndawonye futhi zandisa amathuba okuba nesifo somthambo we-coronary, isifo sohlangothi, nohlobo lwesifo sikashukela sohlobo lwe-2.

I-Metabolic syndrome ivame kakhulu e-United States. Cishe ingxenye eyodwa kwezine yabantu baseMelika iyathinteka. Odokotela abaqiniseki ukuthi lesi sifo singenxa yesizathu esisodwa. Kepha izingozi eziningi zesifo zihlobene nokukhuluphala. Abantu abaningi abane-syndrome ye-metabolic babejwayele ukutshelwa ukuthi banesifo sikashukela sangaphambi kwesikhathi, umfutho wegazi ophakeme (umfutho wegazi ophakeme) noma i-hyperlipidemia emnene (amafutha aphezulu egazini).

Izici ezimbili ezibaluleke kakhulu zobungozi be-metabolic syndrome yilezi:

• Isisindo esingeziwe esizungeza izingxenye eziphakathi nezingaphezulu zomzimba (ukukhuluphala okuphakathi). Lolu hlobo lomzimba lungachazwa njengelwenziwe njenge-apula.
• Ukumelana ne-insulin - I-insulin yihomoni ekhiqizwa kumanyikwe. I-insulin iyadingeka ukusiza ukulawula inani likashukela egazini. Ukumelana ne-insulin kusho ukuthi amanye amaseli emzimbeni asebenzisa i-insulini ngendlela engaphumeleli kunokujwayelekile. Ngenxa yalokho, kukhuphuka izinga likashukela egazini, elibangela ukuba i-insulin ikhuphuke. Lokhu kungakhuphula inani lamafutha omzimba.

Ezinye izinto ezinobungozi zifaka:

• Ukuguga
• Izakhi zofuzo ezikwenza ube sethubeni lokuthuthukisa lesi simo
• Izinguquko kuma-hormone abesilisa, abesifazane, kanye nengcindezi
• Ukuntuleka kokuzivocavoca umzimba

Abantu abane-syndrome ye-metabolic bavame ukuba nesici esisodwa noma eziningi ezingase zixhunyaniswe nesimo, kufaka phakathi:

• Ingozi eyengeziwe ye-clotting yegazi
• Ukukhuphuka kwamazinga ezinto zegazi okuwuphawu lokuvuvukala emzimbeni wonke
• Amanani amancane amaprotheni abizwa nge-albumin emchameni

Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola. Uzobuzwa ngempilo yakho isiyonke nangezimpawu onazo. Ukuhlolwa kwegazi kungalawulwa ukuthi kuhlolwe amazinga kashukela egazini lakho, ama-cholesterol, namazinga e-triglyceride.

Kungenzeka utholakale unesifo se-metabolic syndrome uma unezimpawu ezintathu noma ngaphezulu zalezi ezilandelayo:

• Umfutho wegazi olingana noma ophakeme kuno-130/85 mm Hg noma uthatha umuthi womfutho wegazi ophezulu
• Ukuzila ushukela wegazi (i-glucose) phakathi kuka-100 kuye ku-125 mg / dL (5.6 kuye ku-7 mmol / L) noma utholakale ukuthi unayo futhi uphuza imithi yesifo sikashukela
• Umjikelezo omkhulu okhalweni (ubude bezungeza okhalweni): Kwabesilisa, amasentimitha angama-40 (amasentimitha ayi-100) noma ngaphezulu; kwabesifazane, amasentimitha angama-35 (amasentimitha angu-90) noma ngaphezulu [kubantu bozalo lwase-Asia amasentimitha angama-90 kwabesilisa namasentimitha angama-80 kwabesifazane]
• I-cholesterol ephansi ye-HDL (enhle): Kwabesilisa, ngaphansi kuka-40 mg / dL (1 mmol / L); kwabesifazane, ngaphansi kuka-50 mg / dL (1.3 mmol / L) noma uthatha umuthi we-HDL eyehlisiwe
• Amazinga wokuzila we-triglycerides alingana noma ngaphezulu kuka-150 mg / dL (1.7 mmol / L) noma uthatha umuthi ukwehlisa ama-triglycerides

Umgomo wokwelashwa ukunciphisa ubungozi besifo senhliziyo, isifo sohlangothi nesifo sikashukela.

Umhlinzeki wakho uzoncoma izinguquko zendlela yokuphila noma imithi:

• Ukuncipha emsimbeni. Umgomo ukulahlekelwa phakathi kuka-7% no-10% wesisindo sakho samanje. Kuzodingeka udle ama-calories ayi-500 kuya ku-1 000 ngosuku. Izinketho ezahlukahlukene zokudla zingasiza abantu ukufeza le nhloso. Akukho kudla okukodwa okungcono kakhulu ukunciphisa umzimba.
• Thola imizuzu engama-150 ngesonto yokuvivinya umzimba ngokulingene njengokuhamba. Yenza izivivinyo zokuqinisa imisipha yakho izinsuku ezi-2 ngeviki. Ukuvivinya umzimba ngamandla isikhathi esifushane kungenye indlela. Buza kumhlinzeki wakho ukuthi ngabe uphilile ngokwanele yini ukuqala uhlelo olusha lokuzivocavoca umzimba.
• Yehlisa i-cholesterol yakho ngokudla ukudla okunempilo, ukunciphisa umzimba, ukuzivocavoca, nokuthatha imithi eyehlisa i-cholesterol, uma kudingeka.
• Yehlisa umfutho wegazi lakho ngokudla usawoti omncane, ukwehlisa isisindo somzimba, ukuzivocavoca umzimba nokuphuza umuthi, uma kudingeka.

Umhlinzeki wakho angancoma i-aspirin yedosi eliphansi nsuku zonke.

Uma ubhema, manje isikhathi sokuyeka. Cela umhlinzeki wakho akusize uyeke. Kunemithi nezinhlelo ezingakusiza uyeke.

Abantu abane-syndrome ye-metabolic banengozi eyandayo yesikhathi eside yokuthola isifo senhliziyo, uhlobo lwesifo sikashukela sohlobo 2, isifo sohlangothi, isifo sezinso, kanye nokutholakala kwegazi okungekho emilenzeni.

Shayela umhlinzeki wakho uma unezimpawu noma izimpawu zalesi simo.

I-insulin ukumelana nesifo; Isifo X

• Isilinganiso sebhande lesisu

Iwebhusayithi yeAmerican Heart Association. Mayelana ne-metabolic syndrome. www.heart.org/en/health-topics/metabolic-syndrome/about-metabolic-syndrome. Kubuyekezwe ngoJulayi 31, 2016. Kufinyelelwe ngo-Agasti 18, 2020.

Iwebhusayithi yeNational Heart, Lung, neGazi Institute. I-Metabolic syndrome. www.nhlbi.nih.gov/health-topics/metabolic-syndrome. Kufinyelelwe ngo-Agasti 18, 2020.

URaynor HA, iChampagne CM. Isikhundla se-Academy of Nutrition and Dietetics: ukungenelela ekwelapheni ukukhuluphala ngokweqile nokukhuluphala kubantu abadala. Ukudla kuka-J Acad Nutr. 2016; 116 (1): 129-147. I-PMID: 26718656 pubmed.ncbi.nlm.nih.gov/26718656/.

URuderman NB, uShulman GI. I-Metabolic syndrome. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 43.